Current or Most Recent Occupation and Industry - This data item is very useful to track occupational diseases as well as to better define socioeconomic status. HHS, Public Health Service, Health Resources Services Administration, Steven Clauser Florida Hospital Association Information Services, George J. Stukenborg, Ph.D. National Association of Health Data Organizations. Medicare administrative data or Medicare Fee-for-Service claims (administrative) data, also known as health services utilization data, are collected by the Centers for Medicare and Medicaid Services (CMS) and derived from reimbursement information or the payment of bills. 41. The data sets promulgated by the NCVHS have become de facto standards in their areas for data collection by Federal and state agencies, as well as public and private data abstracting organizations. Consideration of these various issues and additional study and evaluation are needed before recommendations can be made for standardizing functional status measurement. The Uniform Ambulatory Care Data Set (UACDS) regulates the area of ambulatory care. More than 150 responses to this second request were received, including responses from the leaders in the health care and health care information fields. Health Resources and Services Administration, William E. Flynn, III Both the UHDDS and UACDS have been reviewed and updated by the NCVHS and the Department in recent years. Workgroup for Electronic Data Interchange, Lucy Johns 36. National Center for Health Statistics, David P. Winchester, M.D. The information that this element provides on the causes of patients' injuries or adverse effects is considered essential for the development of intervention, prevention and control strategies. Department of Public Health, Dan Rode A lack of footnote indicates that the element is ready for implementation. A listing of the Core Health Data Elements grouped by level of readiness for implementation is provided after the section with the definitions of each data element. Participating organizations included: Although Committee members were aware in a general way of ongoing standards developments activities, this session focused on the need for action being required now and in the near future if the health care community is to obtain and maintain a presence as data standards are developed and finalized. For those elements that the Committee recommends as being ready to standardize, request each of the data collection entities within the Department to review the set of data elements and to match data contents and definitions with similar items that they are currently collecting or plan to collect. In addition to documenting whether the patient was discharged alive or died during the hospitalization, the patient disposition is an indicator of the patient's health status at the time of discharge and need for additional services. University of California, San Francisco, Jaclyn Packer Expected insurance payer number or code. Some respondents incorrectly interpreted this item as a means of classifying primary site for cancer, utilizing ICD-O (oncology). It remains unclear whether the modest health gains seen in low-income and racial/ethnic minority populations in the last thirty years will continue, considering the changes in the U.S. health care system. This relationship (i.e., self, spouse or child of subscriber) is often obtained and can be of importance for payment and research purposes. Respondents have indicated a mixed use of this item for inpatients. Facility Identification - The unique HCFA identifier as described above. Promoting the standardization of health information has been a consistent and defining Committee activity for 25 years. Support implementation and testing activities for those data elements for which agreement on definitions has been reached and those for which minimal additional work is needed on definitional agreement. National Institute of Occupational Safety and Health, Stewart H. Streimer Armed with the extensive listing of potential data elements culled from the Compendium, in September 1995, the NCVHS contacted approximately 2,000 individuals and organizations in the health care utilization and data fields to seek their input in identifying those basic elements most in need of collection and/or in need of uniform definitions (appendix B). Standardized data sets can serve many purposes in the current and future health care arena. 18. Therefore, billed charges should be collected, at a minimum. However, the activities envisioned by many participants go much farther than an advisory committee can handle. Medical and Health Research Association, Gregg A. Pane, M.D. B.The health care practitioner for each clinical service received by the patient, including ambulatory procedures. Because UHDDS data definitions are a component of DRGs and required to accurately calculate DRG payment, short-term, general hospitals in the US generally collect: PATIENT-IDENTIFIABLE DATA IN THE FORMAT RECOMMENDED BY THE UHDDS. Carries a procedural risk, or. Also in March, a consultant to the NCVHS updated the World Health Organization on the core data element activity and returned with input to the process. Virginia Health Information, Charles MacKay Current or Most Recent Occupation and Industry 2/, 16. A chart showing the distribution of all respondents to this second mailing by type of organization is shown in appendix G. The importance of participating in meetings of the various standard-setting groups has been recognized by the Committee. St. Peter's Community Hospital, Ron Horner, Ph.D. Currently there is little or no input from the public health field for several reasons. National Committee for Quality Assurance, James S. Todd, M.D. Medicare and many other payers adhere to these guidelines. Department of the Army, Headquarters, U.S. Army Medical Command, Michael D. Hennessey Date of Birth - Year, month and day - As recommended by the UHDDS and the Uniform Ambulatory Care Data Set (UACDS). Equifax Healthcare Information Services, Inc. Katherine S. McCarter, MHS An example of this could be NAHDO which could undertake to work with its members. Connecticut Children's Medical Center, Geraldine Oliva Minnesota Department of Health, Trish Riley A unique identifier such as the SSN in conjunction with at least one other data item or, alternatively, an identifier drawn from another distinct set of data items routinely collected presently would seem the most viable. Also, describe, to the extent possible, the provision of drugs and biologicals, supplies, appliances and equipment. NYLCare Health Plans, Inc. Andrew Webber The currently recommended coding instrument is the ICD-9-CM. CORE HEALTH DATA ELEMENTS PROPOSED FOR STANDARDIZATION, 11. It will also serve as a quality check as the date of birth approaches the new century mark. Indian Health Service, Robert Davis The UACDS is a recommended set, not a mandatory one. This identifier includes hospitals, ambulatory surgery centers, nursing homes, hospices, etc. Race and Ethnicity - The collection of race and ethnicity have been recommended by the UHDDS and the UACDS, and these elements have a required definition for Federal data collection in Office of Management and Budget (OMB) Directive 15. HCFA, however, has estimated that there are approximately 30,000 individual payers in the U.S. The Committee recognizes that this is an iterative process and has included in these recommendations several elements that have been proposed for standardization, even though no consensus currently exists concerning appropriate or feasible definitions. Illinois Department of Public Health, Frank C. Lemus The NCVHS recommended this as an optional item in the UACDS but that high priority should be given to conducting additional study as to the feasibility, ease and practical utility of collecting the patient's reason for encounter, in as close to the patient's words as possible. There is also concern that medical personnel may be confusing the definitions/uses of principal versus primary diagnosis. American Association of Health Plans, Louis H. Diamond, M.B.Ch.B. The data sets that are currently standardized are prime examples of satisfying multiple purposes with a single data set. Virtually all saw the need for uniform data items and definitions, and the issue of a unique identifier was a frequent topic. HBO and Company. Additional evaluation and testing are warranted for this important information. For children under the age of 18, the mother's highest grade of schooling completed should be obtained. Problems could arise from adding and modifying data items and definitions too frequently. College of Nursing, East Tennessee State University, Jimmy Thomas Efird I need the ICD-10-PCS codes 2. Medications Prescribed - Describe all medications prescribed or provided by the health care practitioner at the encounter (for outpatients) or given on discharge to the patient (for inpatients), including, where possible, National Drug Code, dosage, strength, and total amount prescribed. California Health Information for Policy Project, Nancy J. Kennedy, Dr.P.H. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. What are the Root Operations? AHCPR compared the 12 systems with the UB-92 and monitored deviations at 3 levels - easy, moderately difficult, and difficult to correct problems. ASTM Committee E-31, Clifford P. Binder Legal Services of Middle Tennessee, Leonard Bourget Health Care Facility and Practitioner Identifiers - Each provider should have a universal unique number across data systems. It is important to note for this report, however, that the two subcommittees are in agreement with the core data elements that are described herein. HHS, CDC, NIOS&H - ALOSH, Division of Safety Research, Kris Haltmeyer We use cookies to ensure that we give you the best experience on our website. As recommended by the UACDS, address should be in sufficient detail (street name and number, city or town, county, State, and Zip Code) to allow for the computation of county and metropolitan statistical area. State of Washington Department of Health, Maria Rey The report provides important background information on coordinators and promoters of standards development; lead standards-development organizations; organizations developing performance measures indicators; departmental organizations; international organizations; and others. These elements apply to persons seen in both ambulatory and inpatient settings, unless otherwise specified. Information is collected by a wide range of users and in a myriad of different formats. Colorado Hospital Association, Nancy Breen, Ph.D. Catherine McCabe The ever-expanding sites of care, combined with the increasing use of electronic data, make it imperative that all health data collection activities, where possible, utilize standardized data elements and definitions. Patient's Expected Sources of Payment - The following categories are recommended for primary and secondary sources of payment: 40A. Center for Health Policy Studies, Rachael Block 38. The Committee recommends the following actions specifically related to the core data elements: 3. Data Elements for Emergency Department Systems, Release 1.0 (DEEDS), is intended for use by individuals and organizations responsible for ED record systems. For those data elements which have been recognized as significant core elements, but for which there is not consensus on definition, support the formation of a public-private working group to conduct or coordinate additional study or research and to further refine definitions. A detailed report of these findings is in the process of publication by AHCPR, but findings have shown that even well-recognized standards are not consistently followed. The Committee recommends that the HCFA identifier be adopted when completed. Which of the following data elements is unique to Uhdds quizlet? Any unit of data defined for processing is a data element; for example, ACCOUNT NUMBER, NAME, ADDRESS and CITY. Diagnosis Chiefly Responsible for Services Provided (outpatient), 38. If you continue to use this site we will assume that you are happy with it. Georgia State University, Maria Redona Couper 200 Independence Avenue, SW Date of Birth 4 digits for year of birth but 3 digits are adequate to capture the century Sex Male Race Ethnicity The process for these specialized areas is ongoing and final recommendations for specific elements have not yet been submitted to the full Committee. The major output of this project to date has been the recommendation of core data elements, definitions, vocabulary and classifications. Much of the required information can be located on the patients face sheet. It appeared that some types of data linkage could be obtained in states with smaller populations, but might not work nationwide. 27. The number of standards-setting organizations is growing; however, all who addressed the Committee are actively seeking participation by a 'recognized' leader/group who can forge consensus for the health care information field. The Committee has recognized that data confidentiality is a major concern in the collection of health data from an increasing number of sites, and the Committee has long been concerned with personal privacy and data confidentiality issues. Department of Veteran's Affairs (19), Lora Kraus To retrieve electronic data B. https://www.health-improve.org/what-is-uacds-in-healthcare/ Kaiser Permanente, Medical Economics, Kathleen H. Fyffe Health Care Practitioner Identification (outpatient) - The unique national identification number assigned to the health care practitioner of record for each encounter. United States Department of Agriculture, Food and Nurtrition Service. Patient's Expected Sources of Payment 1/. Medicare decided a PAYERID was needed because of the difficulty its contractors were having in transferring claims to other insurance companies, due to incomplete information or multiple names for payers. National Indian Council on Aging, Inc. Jacqueline R. Bennett Percutaneous exchange of transvenous right atrial and ventricular leads of a pacemaker, which was initially placed three years ago; battery remains intact. Computer Network Architects, Inc. Barry Gordon Using items such as first name of mother; first digits of last name; date of birth; place of birth, etc., matches could be obtained without identifying the individual. By January 1998, all California State Department of Health data bases will contain five data items to facilitate linkage. The Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisor to the Secretary of the U.S. Department of Health and Human Services on policy development, and is responsible for major activities in policy coordination, legislation development, strategic planning, policy research, evaluation, and economic analysis. Self-Reported Health Status - There was much interest in documenting health status, one element that can precipitate the demand for health care and help determine the prognosis, although there was no consensus on how its definition should be standardized. A significant procedure is one that is: Surgery includes incision, excision, amputation, introduction, endoscopy, repair, destruction, suture, and manipulation. The description of the element indicates this present lack of agreement. 01. What is Uacds? Health Level 7 Ernst & Young LLP, Jerri Regan Association of Maternal and Child Health Programs, Karl S. 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